Coarctation repair—redo challenges in the adults: what to do?

Beckmann, Erik; Jassar, Arminder S.

doi:10.21037/jovs.2018.04.07

Cited by 26 publications

(24 citation statements)

References 108 publications

(114 reference statements)

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“…If treated conservatively, pseudoaneurysms are associated with 100% rupture in one reported series [ 12 ]. Most of the reported cases of such complications were treated successfully with endovascular therapy [ 4 , 7 ]. Redo open surgery is challenging and associated with significant mortality and morbidity as compared to native CoA repair [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is believed that EABG is the most practical and effective technique to repair CoA for adult patients, specifically in cases where interrupted aorta or hypoplastic aortic arch is present. Moreover, the usefulness of this technique magnitudes when another cardiac procedure such as coronary artery bypass surgery (CABG) or aortic valve replacement is needed [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Al-Husayni

Samman

Althobaiti

et al. 2021

Cureus

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Surgical correction of aortic coarctation (CoA) has been the standard treatment in infants and adolescents to prevent late consequences related to obstruction and distal hypoperfusion. Several surgical techniques for CoA repair have traditionally been applied. However, late complications, including re-CoA and pseudoaneurysm formation, are not uncommon. The incidence of complications is highly related to the type of initial surgery. Here, we are reporting two cases of late complications related to an infrequently used surgical technique, the extra-anatomical aortic bypass graft (EABG). The first case presented with pseudoaneurysm at the distal anastomosis site with the descending aorta and treated by endovascular stent graft. The second case presented with stenosis at the proximal anastomosis site with the left subclavian artery (LSCA) and treated medically upon the request of the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Al-Husayni

Samman

Althobaiti

et al. 2021

Cureus

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“…Often, discrete CoA and tubular hypoplasia can co-exist. CoA can occur as an isolated form or be associated with other vascular malformations or syndromes [41]. About 15-20% of affected individuals are asymptomatic until adulthood (Fig.…”

Section: Coarctation Of the Aorta (Coa)mentioning

confidence: 99%

Autopsy in adults with congenital heart disease (ACHD)

et al. 2020

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The adult congenital heart diseases (ACHD) population is exceeding the pediatric congenital heart diseases (CHD) population and is progressively expanding each year, representing more than 90% of patients with CHD. Of these, about 75% have undergone surgical and/or percutaneous intervention for palliation or correction. Autopsy can be a very challenging procedure in ACHD patients. The approach and protocol to be used may vary depending on whether the pathologists are facing native disease without surgical or percutaneous interventions, but with various degrees of cardiac remodeling, or previously palliated or corrected CHD. Moreover, interventions for the same condition have evolved over the last decades, as has perioperative myocardial preservations and postoperative care, with different long-term sequelae depending on the era in which patients were operated on. Careful clinicopathological correlation is, thus, required to assist the pathologist in performing the autopsy and reaching a diagnosis regarding the cause of death. Due to the heterogeneity of the structural abnormalities, and the wide variety of surgical and interventional procedures, there are no standard methods for dissecting the heart at autopsy. In this paper, we describe the most common types of CHDs that a pathologist could encounter at autopsy, including the various types of surgical and percutaneous procedures and major pathological manifestations. We also propose a practical systematic approach to the autopsy of ACHD patients.

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“… 2 3 Criteria for invasive treatment in adult patients include translesional pressure gradient (>20 mm Hg) and/or evidence of significant collateral vessels. 1 4 5 6 Choice between open surgery versus percutaneous endovascular treatment should be determined by a multidisciplinary team specialists (surgeons, interventional radiologists, and cardiologists). 1 7 Finally, all patients affected by aortic coarctation require a life-long treatment of arterial pressure and close follow-up (clinical and imaging).…”

mentioning

confidence: 99%